Introduction:？Worldwide increasing cesarean section rates are
expected to have a parallel increase in the number of cases of Placenta Previa
with all the expected complications, including pathologically adherent
placenta. This morbidly adherent placenta constitutes a serious and possibly a
life threatening complication. An efficient team capable for managing possible
complicated situations will be able to reduce mortality and morbidity.Objectives: The aim of our
study was to evaluate maternal outcome in cases of Placenta Previa with and
without morbidly adherent placenta. Methods: Analysis of all pregnancies complicated by antepartum
hemorrhage during the period from January 2013 to September 2017 at King
Abdul-Aziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia (KSA)
was done. Cases of Placenta Previa with gestational age >28
weeks were included. They were classified into 2 groups; Group (A) included
Placenta Previa cases without morbidly adherent placenta and Group (B) included
cases with morbidly adherent placenta
Chou, M. (2004) Prenatal Diagnosis and Perinatal Management of Placenta Previa Accreta: Past, Present and Future. Taiwanese Journal of Obstetrics and Gynecology, 43, 64-71. https://doi.org/10.1016/S1028-4559(09)60058-9
Frederiksen, F.C., Glassenberg, R. and Stika, C.S. (1999) Placenta Previa: A 22-Year Analysis. American Journal of Obstetrics and Gynecology, 180, 1432-1437.
https://doi.org/10.1016/S0002-9378(99)70031-1
Takai, I.U., Sayyadi, B.M. and Galadanci, H.S. (2017) A Retrospective Analysis from a Northern Nigerian Teaching Hospital. International Journal of Applied & Basic Medical Research, 7, 112-116. https://doi.org/10.4103/2229-516X.205819
Faiz, A.S. and Ananth, C.V. (2003) Etiology and Risk Factors for Placenta Previa: An Overview and Meta-Analysis of Observational Studies. The Journal of Maternal-Fetal & Neonatal Medicine, 13, 175-190.
https://doi.org/10.1080/jmf.13.3.175.190
Abduljabbar, H.S., Bahkali, N.M., Al-Basri, S.F., et al. (2016) Placenta Previa. A 13 Years’ Experience at a Tertiary Care Center in Western Saudi Arabia. Saudi Medical Journal, 37, 762-766. https://doi.org/10.15537/smj.2016.7.13259
Wu, S., Kocherginsky, M. and Hibbard, J. (2005) Abnormal Placentation: Twenty-Year Analysis. American Journal of Obstetrics and Gynecology, 192, 1458-1461.
https://doi.org/10.1016/j.ajog.2004.12.074
Kollmann, M., Gaulhofer, J., Lang, U. and Klaritsch, P. (2016) Placenta Praevia: Incidence, Risk Factors and Outcome. The Journal of Maternal-Fetal & Neonatal Medicine, 29, 1395-1398. https://doi.org/10.3109/14767058.2015.1049152
Fitzpatrick, K.E., Sellers, S., Spark, P., Kurinczuk, J.J., Brocklehurst, P. and Knight, M. (2014) The Management and Outcomes of Placenta Accreta, Increta, and Percreta in the UK: A Population-Based Descriptive Study. BJOG, 121, 62-71.
https://doi.org/10.1111/1471-0528.12405
Silver, R.M., Fox, K.A., Barton, J.R., Abuhamad, A.Z., Simhan, H., Huls, C.K., Belfort, M.A. and Wright, J.D. (2015) Center of Excellence for Placenta Accreta. American Journal of Obstetrics and Gynecology, 212, 561-568.
https://doi.org/10.1016/j.ajog.2014.11.018
Eller, A.G., Bennett, M.A., Sharshiner, M., Masheter, C., Soisson, A.P., Dodson, M. and Silver, R.M. (2015) Maternal Morbidity in Cases of Placenta Accreta Managed by a Multidisciplinary Care Team Compared with Standard Obstetric Care. Obstetrics & Gynecology, 117, 331-337.
